National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 46167

Government Disclaimer on use of this data



Case Details

VAERS ID: 46167 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Female  
Location: South Carolina  
Vaccinated:1992-09-09
Onset:1992-09-18
   Days after vaccination:9
Submitted: 1992-10-09
   Days after onset:21
Entered: 1992-10-13
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public       Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=46167


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166